Provider Demographics
NPI:1386423960
Name:TRUE TO YOU COUNSELING
Entity type:Organization
Organization Name:TRUE TO YOU COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LISW-CP
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-254-1879
Mailing Address - Street 1:1198 KING ST # 1198
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-2993
Mailing Address - Country:US
Mailing Address - Phone:843-254-1879
Mailing Address - Fax:
Practice Address - Street 1:4221 MAYFAIR ST UNIT 204
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5757
Practice Address - Country:US
Practice Address - Phone:843-254-1879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health